A nurse performs purified protein derivative and Candida skin tests on a patient suspected of TB. After 48 hours, what finding at the injection sites should the nurse document as a positive result?
a. Warmth
b. Redness
c. Induration
d. Purulent discharge
ANS: C
Induration is a raised area at the injection site and is considered positive. A. B. D. Redness, discharge, and warmth are not positive results.
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By the time a woman is 36 weeks' gestation, where would the nurse expect to find the uterus?
A) At the umbilicus B) Halfway between the umbilicus and bottom edge of the ribcage C) Near the bottom of the sternum D) Under the edge of the ribcage
Which statement by the healthcare professional accurately describes childhood asthma?
a. An obstructive airway disease characterized by reversible airflow obstruction, bronchial hyperreactivity, and inflammation b. A pulmonary disease characterized by severe hypoxemia, decreased pulmonary compliance, and diffuse densities on chest x-ray imaging c. A pulmonary disorder involving an abnormal expression of a protein, producing viscous mucus that lines the airways, pancreas, sweat ducts, and vas deferens d. An obstructive airway disease characterized by atelectasis and increased pulmonary resistance as a result of a surfactant deficiency
The nurse best maximizes an older adult's potential to avoid developing a postsurgical respiratory infection by
a. walking the patient to the bathroom in-stead of using the bedside commode. b. encouraging compliance with prescribed antibiotic therapy. c. evaluating the patient's ability to effec-tively cough and deep breathe. d. offering fluids every hour while the pa-tient is awake.
A student nurse is preparing a nursing care plan for a client who has insomnia and is experiencing sleep deprivation. Which nursing diagnosis would the nurse most likely identify as reflecting a priority care issue?
A) Risk for Injury B) Ineffective Coping C) Deficient Knowledge D) Anxiety